Doreen Benjamin Psy D LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DOREEN BENJAMIN PSY D LTD

Doing business as

Doreen Benjamin, PSy. D.

Practice address

977 Lakeview Pkwy Ste 165
Vernon Hills, IL 60061-1444

Phone

(847) 867-7236

NPI assigned

Jul 21, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doreen Benjamin, PSY.D.NPI 1710039979

Title

President

Phone

(847) 867-7236

Specialties & licenses 1

Addresses

Other names 1

• Doreen Benjamin, PSy. D. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doreen Diane Benjamin, PSY.D.

  • Clinical Psychologist
  • Vernon Hills, IL
  • NPI 1710039979
  Medicare reassignment NPD Authorized official
• Elena - Frankfurt, M.D.

  • Psychiatry Physician
  • Vernon Hills, IL
  • NPI 1184792749
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1881329076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY STE 165",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611444",
            "telephone_number": "847-867-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY STE 165",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611444",
            "telephone_number": "847-867-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOREEN BENJAMIN PSY D LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-867-7236",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doreen Benjamin, PSy. D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doreen Benjamin, PSy. D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kethleen Matera Dizon
• Megan D Doetsch
• Kimberly Doherty, H.I.S.
• Donald R. Steinnmuller, M.D., S.C.
• Scott S Dooley, DC
• Beth Dostal, LCSW
• DPT Solutions, Inc.
• Dr Kumar and Associates LLC
• Dr Mark Trelka LTD
• Dr. Michael H. Grousd DDS Ma LTD

• Clinical Psychologist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.